Reconstruction of Postburn Antebrachial Contractures Using Pedicled Thoracodorsal Artery Perforator Flaps

Uygur, Fatih; Sever, Celaletti̇n; Tuncer, Serhan; Alagöz, Şahin

doi:10.1097/prs.0b013e3181a07439

Cited by 22 publications

(18 citation statements)

References 33 publications

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“…Thinning of the flaps was observed in his patient series. Similarly, we found that pre‐expanded pedicled TDA perforator flaps were thinned in the presented series when we compared our previous experiences with the TDA perforator flap 1, 2…”

Section: Discussionsupporting

confidence: 64%

“…The TDA perforator flap has gained popularity among reconstructive surgeons for the reconstruction of burn contractures 1, 2, 5–7. The widespread use of the thoracodorsal artery perforator flap is attributable to its following some distinctive characteristics: the basic and reliable anatomy, the ability to be thinned without compromising its blood supply, the possibility of obtaining a long pedicle, the pliability of the flap, and the lack of significant donor site morbidity 1, 2, 5–7…”

Section: Discussionmentioning

confidence: 99%

“…Postburn contractures that cause a restricted range of motion have to be released to restore the full functional abilities of the involved joints. Multiple methods have been used for the resurfacing of defects including skin grafts, local flaps, distant flaps, and free tissue transfer 1–15…”

mentioning

confidence: 99%

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Pre‐expanded pedicled thoracodorsal artery perforator flap for postburn axillary contracture reconstruction

et al. 2010

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Section: Discussionsupporting

confidence: 64%

Section: Discussionmentioning

confidence: 99%

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Pre‐expanded pedicled thoracodorsal artery perforator flap for postburn axillary contracture reconstruction

et al. 2010

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“…If left untreated in a growing child, severe contractures can even lead to secondary facial skeletal abnormalities, compounding the problem (Fricke et al,1996). In the extremities scar contracture can severely limit the mobility of limbs and digits, with crippling results (e.g., Uygur et al,2009). In the urogenital tract it can cause urethral stricture and interfere with sexual function.…”

Section: The Problem Of Scarmentioning

confidence: 99%

Scarless integumentary wound healing in the mammalian fetus: Molecular basis and therapeutic implications

Kathju

Gallo

Satish

2012

Birth Defects Research Pt C

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Adult mammals respond to injury of their skin/integument by forming scar tissue. Scar is useful in rapidly sealing an injured area, but can also lead to significant morbidity. Mammals in fetal life retain the ability to heal integumentary wounds regeneratively, without scar. The critical molecular mechanisms governing this remarkable phenomenon have been a subject of great interest, in the hopes that these could be dissected and recapitulated in the healing adult wound, with the goal of inducing scarless healing in injured patients. Multiple lines of investigation spanning decades have implicated a number of factors in distinguishing scarless from fibrotic wound healing, including most prominently transforming growth factor-β and interleukin-10, among others. Therapeutic interventions to try to mitigate scarring in adult wounds have been developed out of these studies, and have reached the level of clinical trials in humans, although as yet no FDA-approved treatment exists. More recent expressomic studies have revealed many more genes that are differentially expressed in scarlessly healing fetal wounds compared with adult, and microRNAs have also been identified as participating in the fetal wound healing response. These represent an even greater range of potential therapeutics (or targets for therapy) to translate the promise of scarless fetal wound healing to the injured adult patient.

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“…El colgajo de perforantes de la arteria tóraco-dorsal es un colgajo amplio y fino y la secuela que deja en la zona donante es escasa, pero en su recorrido puede sufrir torsiones, tensión, rotura del pedículo y dificultades de retorno venoso (3).…”

Section: Introductionunclassified

Colgajo de perforantes de la arteria colateral cubital inferior para defectos por quemadura eléctrica en fosa cubital

González-Alaña

Torrero-López

Llop-Adrián

et al. 2014

Cir. plást. iberolatinoam.

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ResumenLas quemaduras eléctricas producen lesiones profundas, especialmente las debidas a la entrada y salida de la corriente y al arco voltaico, que pueden dejar expuestas estructuras nobles y afectar áreas de flexo-extensión, como la fosa antecubital. Los defectos resultantes pueden cubrirse mediante colgajos libres o pediculados de brazo y antebrazo. Entre las distintas opciones quirúrgi-cas, el colgajo medial del brazo evita la interrupción de los ejes vasculares mayores y la secuela en la zona donante es discreta. Sin embargo, su uso está poco extendido por considerarse un colgajo de difícil disección debido a la variabilidad anatómica de las arterias colaterales cubitales superior e inferior que lo irrigan.Presentamos la cobertura para un defecto secundario a quemadura eléctrica en la fosa antecubital mediante un colgajo medial del brazo basado en las ramas perforantes de la arteria colateral cubital inferior. Aunque confirmamos en este caso la variabilidad vascular, la disección resultó sencilla y el resultado estético y funcional fue excelente.Palabras clave Quemaduras eléctricas, Quemaduras en brazo, Fosa antecubital, Colgajo medial del brazo, Arteria colateral cubital inferior. Nivel de evidencia científica V AbstractElectrical burns result in deep injury to tissues, especially those lesions produced by entrance and exit of electric flow and voltaic arc, that expose structures such as tendons, nerves or vessels when it happens at the antecubital fossa. Defects produced by electrical burns can be covered using free flaps or local pedicled flaps from arm and forearm. Among different surgical procedures, medial arm flap is a useful one, as it avoids interruption of main vascular axis of the arm and donor site sequelae are minimal. Never the less, its use is not extended due to its difficult dissection, as because the pedicle of the flap has a highly variable anatomical vascularity (superior and inferior ulnar collateral artery).We present a defect produced by electrical burn and its coverage using a local flap based on perforator branches from inferior ulnar collateral artery. Although vascular variability was confirmed, dissection was easy and an aesthetical and functional outcome was achieved. Key wordsElectrical burns, Electrical burns in arm, Antecubital fossa, Medial arm flap, Inferior ulnar collateral artery. Level of evidence VGonzález-Alaña, I.Colgajo de perforantes de la arteria colateral cubital inferior para defectos por quemadura eléctrica en fosa cubitalInferior ulnar collateral perforators flap to cover defects on antecubital fossa after electrical burn

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Reconstruction of Postburn Antebrachial Contractures Using Pedicled Thoracodorsal Artery Perforator Flaps

Cited by 22 publications

References 33 publications

Pre‐expanded pedicled thoracodorsal artery perforator flap for postburn axillary contracture reconstruction

Pre‐expanded pedicled thoracodorsal artery perforator flap for postburn axillary contracture reconstruction

Scarless integumentary wound healing in the mammalian fetus: Molecular basis and therapeutic implications

Colgajo de perforantes de la arteria colateral cubital inferior para defectos por quemadura eléctrica en fosa cubital

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